Organization
CENTRA POST ACUTE SERVICES LLC
Active
Parent organization
CENTRA HEALTH INC
Other names
Summit Health & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRA HEALTH INC
Authorized official
MR. LEWIS C ADDISON (SVP CFO)
(434) 200-4708
Entity
Organization
Contact information
Practice address
1300 ENTERPRISE DR, LYNCHBURG, VA 24502-5746
(434) 200-2161
(434) 200-6638
Mailing address
PO BOX 41000, LYNCHBURG, VA 24506-4100
(434) 200-2161
(434) 200-6638
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH2696
VA
314000000X
Skilled Nursing Facility
Primary
NH2696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000344
ANTHEM
VA
05
—
010125359
—
VA
Enumeration date
06/10/2014
Last updated
10/21/2014
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